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Laparoscopic adjustable gastric banding (LAGB) aftercare attendance and attrition
Hochberg, Lisa S. Murphy, Kylie D. O'Brien, Paul E. Brennan, Leah
Hochberg, Lisa S.
Murphy, Kylie D.
O'Brien, Paul E.
Brennan, Leah
Abstract
Background: Regular aftercare attendance following laparoscopic adjustable gastric banding (LAGB) is associated with greater weight loss and fewer post-surgical complications. Despite high reported rates of attrition from LAGB aftercare, the reasons for non-attendance have not been previously explored. The present study aimed to explore patient-reported barriers to LAGB aftercare attendance, and the perceived helpfulness of potential attrition-reducing strategies, in both regular attendees and non-attendees of aftercare. Methods: One hundred and seventy-nine participants (107 regular attendees and 72 non-attendees) completed a semi-structured questionnaire, assessing barriers to attrition (101 items) and usefulness of attrition prevention strategies (14 items). Results: Findings indicate that both regular attendees and non-attendees experience multiple barriers to aftercare attendance. Non-attendees generally reported that barriers had a greater impact on their aftercare attendance. There was evidence for some level of acceptability for attrition-reducing strategies suggesting that LAGB patients may be receptive to such strategies. Conclusions: Current findings highlight the importance of assessing barriers to treatment in both attendees and non-attendees. It is proposed that addressing barriers that differentiate non-attendees from attendees may be most effective in reducing attrition from aftercare.
Keywords
aftercare, attendance, attrition, compliance, complications, facilitators, follow-up, LAGB, perceived barriers, strategies, systematic review
Date
2016
Type
Journal article
Journal
Obesity Surgery
Book
Volume
25
Issue
9
Page Range
1693-1702
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as green open access
License
File Access
Open
Controlled
Controlled